Provider Demographics
NPI:1730462789
Name:TRIGGS, DENNA (BA)
Entity Type:Individual
Prefix:MRS
First Name:DENNA
Middle Name:
Last Name:TRIGGS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:DENNA
Other - Middle Name:
Other - Last Name:THOMSPON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:4909 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-2310
Mailing Address - Country:US
Mailing Address - Phone:414-207-4522
Mailing Address - Fax:
Practice Address - Street 1:4909 W CENTER ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-2310
Practice Address - Country:US
Practice Address - Phone:414-207-4522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1861733677Medicaid